# PRISMA HEALTH AMBULATORY SURGERY CENTERS-MIDLANDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prisma Health Plastic Surgery & Aesthetics Pavilion
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740058551
- **Authorized official:** POLLY H MILLER (SVP-FIN, ENTERPRISE PAYOR CONTRACT)
- **Authorized official phone:** (864) 522-2286

## Contact information

- **Practice address:** 209 PATEWOOD DR STE 300, GREENVILLE, SC 29615-3592
- **Practice address phone:** (864) 522-6700
- **Practice address fax:** (864) 522-6705
- **Mailing address:** 300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 11/19/2024